Comal, Guadalupe and Kendall Counties are faring better than the average Texas county in terms of health outcomes as well as better than the average county nationally. Bexar County is faring roughly on par with other Texas counties as well as counties across the nation.

That’s according to the latest data from the 2024 National Findings Report from County Health Rankings & Roadmaps, a collaboration of the University of Wisconsin Population Health Institute and the Robert Wood Johnson Foundation.

The big picture

The report focuses on several key health outcomes and health factors, such as length of life, obesity, diabetes, smoking, low birth weight, physical inactivity, excessive drinking, access to health care and education as well as other areas of focus to determine where each community lands and what areas of focus for those communities should be to improve on those factors.


Most notably, the uninsured rate in Texas is double that of the rest of the United States—20% uninsured compared to 10%. Each county in the region falls below the state average but well above the national—15% in Comal and Guadalupe counties, 16% in Kendall County and 19% in Bexar County.


Bexar County also landed above the state and national rates of childhood poverty—at 22%—with Comal and Kendall counties landing below all three rates at 9%. Guadalupe County was higher than Comal and Kendall—at 13%—but still below the state and national averages.


One more thing

Life expectancy rates were higher in every county than the state and national averages except for Bexar County, which landed less than a year under those. Kendall County clocked in a life expectancy of 80.7 years, while Comal, Bexar and Guadalupe registered 78.3, 76.7 and 78.4 years respectively. The full report for each county can be found here.